Individual provider Active NPI

Mojgan Ramezani, DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1942323233
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49980 Issued in CA
Practice address
505 S Flower St
Los Angeles, CA 90071-2101
Phone
(213) 626-6161
Fax
(213) 626-6163
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 49980 CA Primary

Addresses

Primary practice location

505 S Flower St
Los Angeles, CA 90071-2101

Mailing address

505 S Flower St Ste B041
Los Angeles, CA 90071-2107
Phone (213) 626-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
49980CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Plaza Dental CurrentSince Nov 18, 2025 Accepting new patients

Locations

505 S Flower St
Ste B041
Los Angeles, CA 90071

800 Wilshire Blvd
Ste 102
Los Angeles, CA 90017
Phone (213) 626-6161

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1942323233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S FLOWER ST STE B041",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900712107",
            "telephone_number": "213-626-6161",
            "fax_number": "213-626-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S FLOWER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900712101",
            "telephone_number": "213-626-6161",
            "fax_number": "213-626-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMEZANI",
        "first_name": "MOJGAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.